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Acknowledgment of Education and Responsibility

I understand that lymphedema and chronic swelling require ongoing management.

I have received education on:

  • My diagnosis and condition
  • The role of compression
  • Skin care and infection prevention
  • Signs and symptoms that require medical attention
  • My recommended treatment plan

I understand that managing my condition requires active participation, including following recommendations and reporting any changes in my condition.

I have had the opportunity to ask questions and feel comfortable with the information provided.

Patient Name(Required)
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